Author Archives: Libman Education

About Libman Education

Libman Education Inc. is a leading provider of training for the health care workforce offering self-paced and instructor-led online courses designed and developed by leading industry experts in Health Information Management (HIM) and Medical Record Coding. Our courses are specifically designed to improve individual skills and increase the efficiencies and competencies of health care providers and institutions. At Libman Education, we understand the needs and challenges of a well-trained workforce and offer the right-mix of online education to ensure that the health care professionals are prepared to meet the challenges of the changing workplace.

ICD-10 Coding Clinic Update (Q1 2021): Fractures due to CPR

Coding Clinic for Q1 2021 includes a discussion of fractures due to CPR.  Faye Kelly, RHIT, CCS, a broadly experienced HIM professional and trainer, provides insight and commentary in this free, brief presentation.     Coding Clinic Commentary keeps you informed with in-depth commentary on selected coding advice and clarifications from recent issues of AHA […]

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Inpatient Rehabilitation: Coding Z Codes

Inpatient Rehabilitation: Coding Z Codes

by Nirmala Sivakumar, CCS, CDIP Question: Should Z codes be recorded under comorbid conditions (item 24) on the IRF-PAI (Inpatient Rehabilitation Facility – Patient Assessment Instrument)? Answer: The IRF-PAI training manual defines a comorbid condition as a secondary condition a patient has in addition to the primary diagnosis for which the patient was admitted to […]

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Anticipating Intensified RAC Scrutiny Targeting Hospital Upcoding: Three Steps to Ensure Your Organization is Prepared

Anticipating Intensified RAC Scrutiny Targeting Hospital Upcoding: Three Steps to Ensure Your Organization is Prepared

by Cari A. Greenwood, RHIA, CCS, CPC, CICA The Office of Inspector General (OIG) recently issued a report on the findings of a study they conducted on trends in billing for inpatient hospital stays for Medicare beneficiaries from FY 2014 through FY 2019. The report, “Trend Toward More Expensive Inpatient Hospital Stays in Medicare Emerged […]

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Clinical Documentation: Elevated Troponin

Clinical Documentation: Elevated Troponin

by Richard D. Pinson, MD, FACP, CCS Q: A patient with a personal medical history of congestive heart failure (CHF), myocardial infarction (MI), coronary artery disease with three stents, ischemic cardiomyopathy, and chronic kidney disease (CKD) is admitted for acutely decompensated chronic systolic CHF. She had no chest pain or other ischemic symptoms. The initial […]

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Libman Education Introduces Coding Workspace™ Next Generation Coder Training

BEDFORD, MASSACHUSETTS – February 23, 2021 – Libman Education’s Coding Workspace™ is a next generation answer to provide high-engagement and challenging hands-on coding practice coupled with detailed guidance on correct code assignment.  Using a small number of carefully selected, real-world cases that vary in complexity from basic to advanced, Coding Workspace™ will sharpen the coder’s […]

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How Hospitals Ensure Coding Quality

How Hospitals Ensure Coding Quality

by Stacy Swartz, RHIA, CCS, CPC Establishing a Quality/Compliance Program Coding quality has always been critical. Coders are held to high standards and an expectation to achieve a greater than 95% accuracy rate is common. Coder accuracy impacts reimbursement, benchmarking, clinical and financial decision making, and publicly reported data on quality of care. A comprehensive […]

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IRF-PAI Coding: Choosing Etiologic Diagnosis for Impairment Group Code of 16, Debility

IRF-PAI Coding: Choosing Etiologic Diagnosis for Impairment Group Code of 16, Debility

By Nirmala Sivakumar, CCS, CDIP Impairment Group Code (IGC) in Inpatient rehab is the primary reason for admission, and etiologic diagnosis is the problem that led to this condition. There are 17 categories of IGC, with subcategories within. IGC of 16, Debility is generally used for patients that are admitted to inpatient rehab for general […]

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Hospital and Healthcare Networks Face the Challenge of Finding (and Keeping!) Qualified Coders

Hospital and Healthcare Networks Face the Challenge of Finding (and Keeping!) Qualified Coders

by Stacy Swartz, RHIA, CCS, CPC Coding is not a one-size-fits-all occupation and experienced coders tend to focus their skills in one or more areas: inpatient vs. outpatient, Pro Fee vs. facility, and the vast range of medical specialties and care settings. It is vital to employ coders who are experienced in the type of […]

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Why Coding Credentials are Necessary, But Not Sufficient, for Optimal Career Growth

Why Coding Credentials are Necessary, But Not Sufficient, for Optimal Career Growth

by Cari A. Greenwood, RHIA, CCS, CPC, CICA Healthcare delivery is not a static enterprise. The development of new procedures and the discovery of new diseases requires the introduction of new codes and sometimes new coding guidelines. The regulatory environment changes in significant and minor ways every year. Our complex reimbursement system, auditors and the […]

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CPT: New COVID-19 Vaccination Codes

CPT: New COVID-19 Vaccination Codes

  CPT: New COVID-19 Vaccination Codes   This LibmanLightbox™, by nationally recognized coding authority Cari A. Greenwood, RHIA, CCS, CPC, CICA, discusses the new CPT codes for COVID-19 vaccine products and vaccine administration.     Short bursts of learning to illuminate current challenges in medical record coding. Shining a light, where and when you need […]

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The P/F Ratio and Acute Hypoxemic Respiratory Failure

The P/F Ratio and Acute Hypoxemic Respiratory Failure

by Richard Pinson, MD, FACP, CCS Diagnoses of acute hypoxemic respiratory failure is based on two things: Symptoms: acute or subacute ranging from increasing shortness of breath, increased (>20) or decreased (<10) respirations to cyanosis, retractions, accessory muscle use depending on severity and finally respiratory arrest. Blood gas measurement: PaO2 <60 mmHg on room air […]

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Managing the Coding Function: Lessons Learned From Going Remote

Managing the Coding Function: Lessons Learned From Going Remote

by Stacy Swartz, RHIA, CCS, CPC, Senior Director of Coding and CDI Solutions, eCatalyst Healthcare Solutions As COVID-19 continues to strengthen its hold across the country, many healthcare organizations have faced yet another challenge: managing a remote coding work force. What can we learn from their experience thus far? Up until COVID-19, the majority of […]

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